Livonia, NY · Livingston County

No notary required

Short Environmental Assessment Form

Applicants or project sponsors complete this form to provide project information and assess potential environmental effects as part of an application for approval or funding.

What this form is

The applicant or project sponsor completes Part 1 with information about the proposed action, its location, and the sponsor. The form asks about land use, permits, site conditions, and potential environmental effects. Responses become part of an application for approval or funding and may be reviewed publicly or verified; attach a location map and additional pages as needed.

Who needs it

An applicant or project sponsor seeking approval or funding for a proposed action completes Part 1 using currently available information.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the form does not identify any attached or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download The Form

    Download the Short Environmental Assessment Form PDF.

  2. 2

    Complete Part 1

    The applicant or project sponsor completes all items using information currently available.

  3. 3

    Gather Attachments

    Attach a location map and any additional pages needed to supplement responses.

  4. 4

    Submit To The City

    Submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What is the Short Environmental Assessment Form for?
It collects information about a proposed action, its location, the applicant or sponsor, and potential environmental effects for an application for approval or funding.
Who completes Part 1 of this form?
The applicant or project sponsor completes Part 1, answering all items based on information currently available and attaching additional pages as needed.
Do I need a notary for the Short Environmental Assessment Form?
No. The form is signed and dated without a notary, and it does not identify any attachment or related step that must be notarized or sworn.
How do I submit the Short Environmental Assessment Form?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Short Environmental Assessment Form doesn’t need a notary — but if you have another Livonia form that does, a commissioned online notary can help.